| ONE-YEAR AUDIT OF BREAST CLINIC AT ABBASI SHAHEED HOSPITAL, KARACHI
GHAZALA BHATTI, MOHAMMAD KHURRAM ZIA , MOHAMMAD SAAD USMANI, WARDA KHURSHID, SANA KHAN, NAEMA NAZIR
ABSTRACT
Back ground: The
British Association of Surgical Oncology (BASO) has set standards
for services provision and provides an audit program for the breast
clinics. This study is an audit based on retrospective data to examine
and report the one-year performance of Breast clinic at Abbasi Shaheed
Hospital, Karachi.
Patients and Methods: Between October 2009 and
September 2010,615 new and 1158 follow up in a total of 1773 patients
visited Breast clinic for their breast symptoms. A specially designed
Performa for breast diseases was filled on the first visit of all
patients, which included each patient's detailed history, physical
examination, investigations and diagnosis. Each Performa was reviewed
for audit.
Results: The total number of patients visited Breast
clinic at Abbasi Shaheed hospital was 1773 including 615 new and
1158 were follow-up cases.Majority of them were between 16 to 50
years of age group. There were 348 (56.58%) patients with breast
lump out of which 300 (48.78%) turned out to be benign on further
investigation and 48 (07.80%) were malignant. Breast pain was the
presenting complaint in 144 (23.41%) patients while 33 (05.36%)
patients presented with nipple discharge, 54 (08.78%) with breast
abscess, 15 (02.43%) had atrophy breast, 06 (0.97%) had hypertrophied
breast, 09 (01.46%) were with asymmetry of breast and 06 (0.97%)
with eczema of nipples . The audit showed that 03 out of 07 performances
based standard, according to British Association of Surgical oncology
(BASO) were not met satisfactorily.
Conclusion: It is concluded that multidisciplinary
breast clinic in public hospital provides better services to the
symptomatic breast patients on their first visit.
Keywords: Surgical audit, Breast clinic, British
Association of Surgical Oncology
|
